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01 Apr 2015 9:52:55am

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Hi LM,Pity about the no-show, perhaps you could reschedule the interview? Or pass the job onto Encounter or something to do a lengthy examination of these interesting issues.PS why do they always say that non-pharma psych treatments are "also important" whereas pharmas "can be life-saving"? Particularly with vulnerable patients such as the elderly (who are one of the peak diagnostic age groups for epilepsy), the risk benefit can be "life saving" to avoid pharma such as anti-depressants & anti-psychotics, or they can be "also important" while alternatives are actually "life-saving".Another issue in "optimal care" & ethics is how far you really believe in free informed consent. Does a person have the right to refuse treatment for psychiatric symptoms if that worsens their epilepsy? Do they have a right to go crazy if treating convulsive seizures gives them a temporary psychosis or pseudopsychotic seizures? Does it depend on how their family/partner/friendship group is prepared to support them? Does it depend on how their Dr is prepared to support them? Does it depend on their class & whether they are institutionalised? What about treatment for sexual seizures (they do occur)? And of course, religious seizures - who has the right to impose on this sort of issue? How do our systems create & prevent conflict over such matters?Also, how do the 'new' meditation techniques relate to existing evidence about bio-feedback?Regards.

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